International Emergency Medicine & Global Public Health

Program Overview:

The International Emergency Medicine & Global Public Health Fellowship is organized through the Department of Emergency Medicine at the George Washington University, in collaboration with GW's Milken Institute School of Public Health and the Ronald Reagan Institute of Emergency Medicine. The purpose of the fellowship program is to promote experiences, educational initiatives, and research pertinent to the development of international emergency medicine and health. The program strives to promote the development and evaluation of emergency care systems throughout the world, by way of field experience, research, education, and clinical mentoring. As the field of international emergency medicine grows in both breadth into more and more countries and communities, and depth as it ranges from disaster medicine to humanitarian aid to systems development, we aim to educate and train the future leaders in a growing field. The program provides opportunity for collaboration with a broad spectrum of organizations to achieve these goals. We aspire to enable U.S. physicians to develop leadership skills, knowledge, and experience in order to significantly impact the international community and facilitate future career opportunities.

Goals:

The goals of the fellowship training program are to provide each fellow with:

International clinical and public health field projects.

A working knowledge of public health issues by obtaining an M.P.H. at the GW Milken Institute School of Public Health in the Department of Global Health.

Training in Emergency Medical Services (EMS) education and system design and disaster preparedness as it pertains to international emergency medicine development.

Skills to conduct clinical research, especially in an international environment.

Administrative skills to develop and organize international educational programs.

A working knowledge of governmental and non-governmental international organizations and infrastructure.

Maintenance and refinement of clinical skills within his/her residency-trained specialty at one of our affiliated hospitals.

A familiarity with humanitarian organizations and their management, and an effective understanding of how to deliver emergency health care in humanitarian crises and international disasters.

Fellowship Curriculum:

The curriculum is designed to have flexibility and variability in order to meet the individual needs and learning goals of each fellow. The curriculum will be divided into experiential, academic and clinical components as follows:

Experiential

Each fellow will be expected to take part in ongoing projects with the Ronald Reagan Institute of Emergency Medicine and the Department of Emergency Medicine. Each fellow is expected to spend a significant portion of time during each year abroad working on various health projects, as permitted by the individual and MPH class schedule. These practical experiences must be designed to be substantive and increase the fellows' knowledge base. It is the fellowship goal that this not be a simple observational experience, but that the fellow takes an active leadership role. This practical experience will also provide an opportunity to apply acquired skills in varied clinical and educational settings. Fieldwork will be arranged and coordinated by the fellow under the supervision of the Fellowship Director. Fieldwork will include some of the following core activities:

Health policy development

International public health

International emergency medicine program development

International emergency systems evaluation and research

Disaster response, disaster preparedness, and bioterrorism

Emergency medicine educational/residency training program development

International EMS development activities

Injury prevention

Each fellow is encouraged to also develop their own international project during their two-year fellowship. The project will ideally include all phases of program development—from concept to proposal writing, monitoring and evaluation, budgeting, funding, and implementation. Significant mentoring will be provided for project development by the fellowship director and faculty members.

Academic

The two-year fellowship curriculum will provide a rigorous and comprehensive exposure to the broad scope of knowledge that comprises international emergency medicine. The M.P.H. degree program in global health is expected of those fellows who do not already have an M.P.H. degree. Persons entering the program who already have their M.P.H. will have the opportunity to pursue other degree or non-degree programs offered at GW to supplement their prior degree. Additional monthly didactic lectures will cover relevant topics such as project development, international health, international organizations and NGO's. Outside speakers will be invited to monthly sessions, representing local authorities from the public health and international communities. A joint fellowship curriculum, together with other fellows from GW (i.e. EMS/disaster, health policy) will cover topics common to all the fellowship programs, such as developing a research project, IRB topics, and "How to become an Effective Educator."

Fellows will be expected to give at least one grand rounds during the second year of their fellowship program, and each fellow will be responsible for preparing at least one didactic session for the group each year. The fellow will also participate in lectures and presentations pertaining to international health at the GW Milken Institute School of Public Health.

In addition, as part of the fellowship curriculum, fellows may choose elective rotations with the following agencies and lending institutions (World Bank, IADB, CDC, USAID, AIHA, PAHO, FEMA, DHHS).

Each fellow will have the opportunity to take the Humanitarian Emergencies in Large Populations course, as offered by the International Committee of the Red Cross. This is offered annually at Johns Hopkins University, and is usually taken between the first and second year of the fellowship. The course is an intensive three weeks of classes covering the many aspects of humanitarian emergencies with a purpose of providing the public health tools necessary for making appropriate decisions in emergency situations involving large populations. This course will count as elective credit towards the M.P.H. degree.

Each fellow will be expected to conduct at least one IRB-approved research project during the time of their fellowship. This can often also serve as a culminating experience for the M.P.H. degree. Topics can be determined by the individual, including such topics as:

Emergency health systems (clinical and/or administrative)

Educational initiatives

Epidemiology

Public health

Acute care aspects of primary care

Disaster response

EMS systems

Fellows will be encouraged to submit abstracts to national and international emergency medicine meetings.

Clinical

The fellow will work as a member of the clinical faculty at an affiliated hospital. The fellow will provide on average 14 hours/week of clinical coverage in the emergency department. As a junior faculty member, the fellow will participate in academic activities in the Department of Emergency Medicine, including grand round presentations, conferences, and journal clubs.

Fellowship Competencies:

Upon completion of the International Emergency Medicine & Global Public Health Fellowship, the fellow will be able to:

Successfully complete the requirements for the degree of Master in Public Health (M.P.H.) at the GW's Milken Institute School of Public Health.

Display knowledge of public health issues as they pertain to developing health systems. This will include work abroad and domestic educational opportunities.

Display working knowledge of critical topics in international emergency medicine development.

Conduct research related to international emergency medicine health systems and educational interventions.

Integrate training in emergency medicine with international health and apply acquired skills to clinical experience abroad.

Evaluation:

Curriculum Evaluation: The fellowship director will review the curriculum every six months. The curriculum will be evaluated on the basis of educational value and content relevance to the fellowship goals and objectives. The fellow and the director will review the clinical experience and international electives.

Fellow Evaluation: The fellowship director and other faculty will evaluate each fellow semiannually. A written evaluation will be generated for the fellows’ file. The participant will be evaluated by a formal evaluation from the GW Milken Institute School of Public Health. The chairman of the emergency department will review clinical performance within the hospital. International fieldwork will be evaluated via an evaluation form from field personnel.

Effective Dates & Application Requirements:

The duration of the International Emergency Medicine Fellowship is usually two years, although a one-year option can be explored in certain circumstances based on educational training and fellowship goals. The academic year for the fellowship is August 1st to July 31st. Fellows accepted into the program must be board eligible/certified in emergency medicine.

We are using the www.iemfellowships.com website to process applications, and we also ask that you send applications directly to the address listed below. The application deadline is September 30th.

To apply, please send a copy of your curriculum vitae, a letter of intent (1-2 pages in length) expressing your interests/career goals, your expectations from the program, the strengths that you would bring to the fellowship, and three (3) reference letters, including one from your emergency medicine residency program director. Please have the reference letters mailed directly from the author to: